Order Your Guardian 911 Pendant

Complete the information on the form.  Scroll down to complete all fields and then click on the Submit button to place your order.  Please re-check your phone number and email address since this is how we can contact you if there are any questions on your order.

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First Name
Last Name
Phone Number
Email Address
Number of Units Requested	1 Unit 2 Units 3 Units 4 Units 5 Units 6 Units 7 Units 8 Units 10 Units
Billing Information
Name of Credit Card
Street Address
City
State
Zip
Shipping Information
Name of Recipient
Street Address
City
State
Zip
Credit Card Type	Visa Mastercard American Express
Credit Card Number
Expiration Date
CVV Code
Shipping Costs	Shipping Costs are $12 for a Single Guardian Pendant.  If you are ordering one Pendant, your total charges will  be: $199 + $12 shipping = $211. If you are ordering more than 3 units  units, shipping charges will be less than $12 per unit  since we will use bulk packaging.  We will contact you with your total shipping costs prior to shipping.